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SAGAPONACK MEDICAL, P.C.

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Company Details

Name: SAGAPONACK MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Feb 2018 (7 years ago)
Entity Number: 5292639
ZIP code: 12210
County: Suffolk
Place of Formation: New York
Address: C/O INCORP SERVICES INC., 99 WASHINGTON AVE., STE 805-A, ALBANY, NY, United States, 12210
Principal Address: 3350 NOYACK RD, SAG HARBOR, NY, United States, 11963

Contact Details

Phone +1 631-731-1099

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MARK HALSEY Chief Executive Officer 3350 NOYACK RD, SAG HARBOR, NY, United States, 11963

DOS Process Agent

Name Role Address
SAGAPONACK MEDICAL, P.C. DOS Process Agent C/O INCORP SERVICES INC., 99 WASHINGTON AVE., STE 805-A, ALBANY, NY, United States, 12210

National Provider Identifier

NPI Number:
1407351646

Authorized Person:

Name:
DR. MARK A. HALSEY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
824647715
Plan Year:
2022
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2024-02-06 2024-02-06 Address 3350 NOYACK RD, SAG HARBOR, NY, 11963, USA (Type of address: Chief Executive Officer)
2020-02-03 2024-02-06 Address 3350 NOYACK RD, SAG HARBOR, NY, 11963, USA (Type of address: Chief Executive Officer)
2018-02-23 2024-02-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2018-02-23 2024-02-06 Address C/O INCORP SERVICES INC., 99 WASHINGTON AVE., STE 805-A, ALBANY, NY, 12210, 2822, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240206004572 2024-02-06 BIENNIAL STATEMENT 2024-02-06
220203002210 2022-02-03 BIENNIAL STATEMENT 2022-02-03
200203063382 2020-02-03 BIENNIAL STATEMENT 2020-02-01
180223000613 2018-02-23 CERTIFICATE OF INCORPORATION 2018-02-23

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$26,500
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$26,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$26,786.35
Servicing Lender:
Dime Community Bank
Use of Proceeds:
Payroll: $26,500

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State